2024-10-24T11:40:11-05:00 2023-12-31 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2023-01-01 132739694 CHARLES B WANG COMMUNITY HEALTH CENTER INC CHAR 2123796988 268 CANAL STREET NEW YORK NY 10013 KAUSHAL CHALLA CEO 2123796988 2024-10-23 1 1 LORI ROTHE YOKOBOSKY CPA P01273422 2122970400 2024-10-21 2023 2024-10-15 13:58:12Z KAUSHAL CHALLA 268 CANAL STREET NEW YORK NY 10013 136383549 0 X WWW.CBWCHC.ORG X 1972 NY PROVIDE HIGH QUALITY AND AFFORDABLE HEALTH CARE TO ALL, BUILDING OUR HERITAGE OF SUCCESS IN CARING FOR UNDERSERVED ASIAN AMERICANS. 18 17 742 18 0 0 22439578 22755012 51528339 57658127 789502 2332335 5546257 3726875 80303676 86472349 0 0 0 0 53973748 62283108 0 0 0 21144507 24527180 75118255 86810288 5185421 -337939 203132267 206033336 108578187 108067359 94554080 97965977 PROVIDE HIGH QUALITY AND AFFORDABLE HEALTH CARE TO ALL, BUILDING OUR HERITAGE OF SUCCESS IN CARING FOR UNDERSERVED ASIAN AMERICANS. 0 0 73944938 61385002 THE ORGANIZATION OPERATED A FEDERALLY QUALIFIED HEALTH CENTER, PROVIDE HIGH QUALITY AND AFFORDABLE HEALTH CARE TO ALL, BUILDING OUR HERITAGE OF SUCCESS IN CARING FOR UNDERSERVED ASIAN AMERICANS, PROVIDING 276,164 VISITS IN 2023. 73944938 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1 1 0 0 1 43 0 1 742 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X LYNN D SHERMAN 2123796988 268 CANAL STREET NEW YORK NY 10013 CHUEN L YEE MD VICE CHAIRPERSON 3.00 X X 0 0 0 IRENE CHU BOARD MEMBER 2.00 X 0 0 0 JEANNE LEE JACKSON BOARD MEMBER 2.00 X 0 0 0 JIMING LIANG BOARD MEMBER 2.00 1.00 X 0 0 0 KENNY CHIN ESQ BOARD MEMBER 2.00 X 0 0 0 KITTY CHEN BOARD MEMBER 2.00 X 0 0 0 LESLIE CHUANG MD OUTGOING BOARD MEMBER 2.00 X 0 0 0 LINH MY AN SECRETARY 3.00 X X 0 0 0 MARIE LAM BOARD MEMBER 2.00 1.00 X 0 0 0 MARY AGNES PAN TREASURER 3.00 X X 0 0 0 OWH KIAN ONG CHAIRPERSON 4.00 1.00 X X 0 0 0 PAULINE TSE BOARD MEMBER 2.00 X 0 0 0 PHILIP CHONG JR BOARD MEMBER 2.00 X 0 0 0 REGINA LEE ESQ BOARD MEMBER 2.00 X 0 0 0 ROBERT BELL OUTGOING BOARD MEMBER 2.00 X 0 0 0 SOPHIA NG TSAO BOARD MEMBER 2.00 X 0 0 0 STEPHANIE CHENG BOARD MEMBER 2.00 X 0 0 0 VICKI TSE MD BOARD MEMBER 2.00 X 0 0 0 VICTOR LEE BOARD MEMBER 2.00 X 0 0 0 YVONNE GHAW BOARD MEMBER 2.00 X 0 0 0 BETTY K CHENG EXECUTIVE VP & COO 35.00 X 312938 0 48089 DE YOUNG CHAN CFO 33.25 1.75 X 231644 0 18989 HYOSEONG N KIM EVP & CMO 35.00 X 306886 0 18675 KAUSHAL CHALLA CHIEF EXECUTIVE OFFICER 33.25 1.75 X 456215 0 22700 LYNN D SHERMAN EVP FINANCE, IT, CAPITAL & HR 31.50 3.50 X 364164 0 49767 PERRY PONG MD EXECUTIVE VP & CMO 35.00 X 356129 0 48023 BENNETT C CHAN SENIOR PEDIATRICIAN LEVEL II 35.00 X 329297 0 21991 CHRISTINE J SHEN MD SENIOR PEDIATRICIAN LEVEL II 35.00 X 414242 0 39398 DU CHU WU MD SENIOR INTERNIST LEVEL II 35.00 X 409884 0 48945 JIAN-PING CHEN MD DIRECTOR OF MENTAL HEALTH 35.00 X 405843 0 46923 JIEYING SHEN MD SENIOR PEDIATRICIAN LEVEL II 35.00 X 480868 0 40905 4068110 0 404405 133 0 1 0 LANGUAGE ACCESS NETWORK 6400 HUNTLEY ROAD COLUMBUS OH 43229 AUDIO & VIDEO INTERPRETATION SERVICES 157813 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS7TH FLO NEW YORK NY 10019 AUDIT/TAX SERVICES 138750 WEILL CORNELL MEDICINE PHYSICIAN ORGANIZ 575 LEXINGTON AVENUE NEW YORK NY 10022 PHYSICIAN COVERAGE 123165 ORGANIZATIONAL PERFORMANCE GROUP INC 15 RESEARCH DR SUITE 4 WOODBRIDGE CT 06525 MANAGEMENT TRAINING 102349 4 10609564 12145448 2107601 22755012 NEW YORK STATE MEDICAID MANAGED C 621400 24882895 24882895 MANAGED CARE PLANS 621400 11989468 11989468 PRIVATE INSURANCE 621400 10983218 10983218 MEDICAID 621400 3337327 3337327 NEW YORK STATE UNCOMPENSATED CARE 621400 3086789 3086789 3378430 3378430 57658127 2903721 2903721 49339814 49911200 -571386 -571386 -571386 HEALTH PLAN QUALITY DISTRIBUTION 900099 2937904 2937904 MANAGEMENT SERVICES FEES 900099 587421 587421 METROCARD REIMBURSEMENT 900099 122816 122816 78734 78734 3726875 86472349 61385002 0 2332335 2234218 1922850 311368 48100675 41397181 6703494 2057445 1770712 286733 5974155 5141573 832582 3916615 3370780 545835 180081 180081 203903 203903 1450997 1002468 448529 1078021 927784 150237 8033665 6891175 1142490 170674 144437 26237 163887 138694 25193 2167197 1858994 308203 287068 58000 229068 PHARMACEUTICALS 3053951 3053951 DONATED VACCINES 2107601 2107601 CONSUMABLE SUPPLIES 2067096 1924681 142415 EQUIPMENT RENTAL AND MA 1760467 762822 997645 1802572 1471235 331337 86810288 73944938 12865350 0 212553 235633 54557676 32809599 886385 760280 7576097 11318517 718691 650129 39040351 25498669 13607040 13541682 27118126 50814490 90622894 85700083 7832805 10202923 203132267 206033336 9568490 9915930 99009697 98151429 108578187 108067359 X 92611580 96374727 1942500 1591250 94554080 97965977 203132267 206033336 -337939 3749836 0 X 0 1 X 1 1 1 X 23642685 14437767 25347980 22439578 22755012 108623022 49091404 41021157 49661019 51528339 57658127 248960046 72734089 55458924 75008999 73967917 80413139 357583068 546000 30020 2783740 3359760 0 546000 30020 2783740 3359760 354223308 249235 115181 136764 789502 2903721 4194403 249235 115181 136764 789502 2903721 4194403 4027809 3709740 3202160 5546257 3726875 20212841 77011133 59283845 78347923 80303676 87043735 381990312 0.92730 0.92920 0.01100 0.00430 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: HEALTH PLAN QUALITY DISTRIBUTION - 2019 AMOUNT: $ 3,269,299. 2020 AMOUNT: $ 3,244,295. 2021 AMOUNT: $ 2,760,346. 2022 AMOUNT: $ 4,835,498. 2023 AMOUNT: $ 2,937,904. SHARED SAVINGS REVENUE - 2022 AMOUNT: $ 152,188. MANAGEMENT SERVICES FEES - 2019 AMOUNT: $ 238,903. 2020 AMOUNT: $ 257,532. 2021 AMOUNT: $ 256,666. 2022 AMOUNT: $ 353,680. 2023 AMOUNT: $ 587,421. METROCARD REIMBURSEMENT - 2019 AMOUNT: $ 277,343. 2020 AMOUNT: $ 107,899. 2021 AMOUNT: $ 91,449. 2022 AMOUNT: $ 110,457. 2023 AMOUNT: $ 122,816. MEDICAL RECORDS CHARGES - 2019 AMOUNT: $ 62,910. 2020 AMOUNT: $ 40,454. 2021 AMOUNT: $ 42,273. 2022 AMOUNT: $ 35,611. 2023 AMOUNT: $ 33,006. OTHER - 2019 AMOUNT: $ 179,354. 2020 AMOUNT: $ 59,560. 2021 AMOUNT: $ 51,426. 2022 AMOUNT: $ 58,823. 2023 AMOUNT: $ 45,728. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 21233591 13454523 7779068 17490234 12044146 5446088 316526 316526 13541682 DEFERRED COMPENSATION PAYABLE 8265664 OPERATING LEASE LIABILITIES 88270865 DUE TO MEDICAID 1580905 DUE TO AFFILIATE 33995 98151429 X 90297774 3749836 75589 3825425 86472349 0 86472349 86144763 -665525 -665525 86810288 0 86810288 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER HAS CONCLUDED THAT, AS OF DECEMBER 31, 2023, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR AN ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CENTER'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2020 ARE CLOSED, AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION REVENUE 3,149,593. INTERCOMPANY ELIMINATIONS -3,074,004. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION EXPENSES 2,408,479. INTERCOMPANY ELIMINATIONS -3,074,004. X X X X 0 0 0 0 0 0 0 0 0 JIEYING SHEN MD SENIOR PEDIATRICIAN LEVEL II 479172 0 0 0 1696 0 12582 0 28323 0 521773 0 0 0 KAUSHAL CHALLA CHIEF EXECUTIVE OFFICER 455950 0 0 0 265 0 19800 0 2900 0 478915 0 0 0 DU CHU WU MD SENIOR INTERNIST LEVEL II 408188 0 0 0 1696 0 15492 0 33453 0 458829 0 0 0 CHRISTINE J SHEN MD SENIOR PEDIATRICIAN LEVEL II 413141 0 0 0 1101 0 12275 0 27123 0 453640 0 0 0 JIAN-PING CHEN MD DIRECTOR OF MENTAL HEALTH 404094 0 0 0 1749 0 19800 0 27123 0 452766 0 0 0 LYNN D SHERMAN EVP FINANCE, IT, CAPITAL & HR 362021 0 0 0 2143 0 19800 0 29967 0 413931 0 0 0 PERRY PONG MD EXECUTIVE VP & CMO 354380 0 0 0 1749 0 19800 0 28223 0 404152 0 0 0 BETTY K CHENG EXECUTIVE VP & COO 310826 0 0 0 2112 0 19046 0 29043 0 361027 0 0 0 BENNETT C CHAN SENIOR PEDIATRICIAN LEVEL II 329069 0 0 0 228 0 11323 0 10668 0 351288 0 0 0 HYOSEONG N KIM EVP & CMO 306276 0 0 0 610 0 17475 0 1200 0 325561 0 0 0 DE YOUNG CHAN CFO 229914 0 0 0 1730 0 14089 0 4900 0 250633 0 0 0 CENTRE COURT HOLDINGS LLC IRENE CHU, BOARD MEMBER, HAS FINANCIAL INTEREST IN CENTRE COURT HLDNGS LLC 732552 RENT 0 X 1 2107601 FMV 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11B COPIES OF THE FORM 990 ARE DISTRIBUTED THE BOARD OF DIRECTORS. IT IS REVIEWED BY SENIOR MANAGEMENT, INCLUDING THE CEO AND CFO, AND DISTRIBUTED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S DIRECTORS, OFFICERS AND KEY EMPLOYEES SIGN DISCLOSURE STATEMENTS ANNUALLY. THE BOARD DEVELOPMENT COMMITTEE AND AUDIT COMMITTEE ARE RESPONSIBLE FOR MONITORING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IN THE EVENT A CONFLICT EXISTS, THE INDIVIDUAL WITH THE CONFLICT MUST RECUSE HIMSELF/HERSELF FROM ANY DELIBERATION AND VOTING REGARDING THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A ANNUALLY, THE COMPENSATION COMMITTEE OF THE BOARD REVIEWS AND EVALUATES THE PRESIDENT AND CEO AND DECIDES ON COMPENSATION. INFORMATION FROM OUTSIDE CONSULTANTS ON COMPARABLE SALARIES OF SIMILAR ORGANIZATIONS MAY BE USED IN THEIR DETERMINATION. SALARIES FOR OTHER OFFICERS & KEY EMPLOYEES ARE DETERMINED BY THE PRESIDENT AND CEO, USING SALARY SURVEYS WITH INFORMATION FROM OTHER HEALTH CENTERS, AS WELL AS EMPLOYEE ANNUAL EVALUATIONS. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. HEALTHVIEW CBWCHC INC 268 CANAL STREET NEW YORK NY 10013 822560880 PROVIDE SUPPORT TO CHARLES B. WANG COMMUNITY HEALTH CENTER, INC. NY 501(C)(3) LINE 12A, I CHARLES B WANG COMMUNITY HEALTH CENTER INC 1 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 HEALTHVIEW CBWCHC INC K 3074004 LEASE DOCUMENT